Provider Demographics
NPI:1164677688
Name:FREEMAN, AMY LYNN (CAGS, LMHC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:CAGS, LMHC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:DARLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32 ASSABET LN
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602
Mailing Address - Country:US
Mailing Address - Phone:774-262-0703
Mailing Address - Fax:
Practice Address - Street 1:100 GROVE ST STE 306
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2647
Practice Address - Country:US
Practice Address - Phone:774-262-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2019-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health